Idaho
Division of Occupational and Professional Licenses
TIMOTHY R BLACK
Idaho Board Of Podiatry - Podiatrist
License number
P - 169
Date granted
07/29/2002
Date expires
11/15/2016
Class
Idaho Board Of Podiatry - Podiatrist
Status
Current
Address
IDAHO FALLS ID 83404
idaholicensing.com
ID 19688730
LAST UPDATED 2024-03-14 19:47:54 UTC
LAST UPDATED 2024-03-14 19:47:54 UTC
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